Amanda Corbin, RN
Individual provider Active NPI School Registered Nurse · Aztec, NM
NPI 1265198535 · NPPES record last updated Nov 11, 2021
Key facts
- NPI
- 1265198535
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Registered Nurse 163WS0200X
- License
- RN-73464 (NM)
- Practice address
- 507 S Park Ave
Aztec, NM 87410-2253 - Phone
- (505) 334-9469
- NPI assigned
- Nov 11, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN-73464 | NM | MD | School Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | RN-73464 | NM | Yes |
Addresses
Primary practice location
507 S Park Ave
Aztec, NM 87410-2253
Mailing address
11 Road 2626
Aztec, NM 87410-2801
Phone (505) 947-1098
Other providers in Aztec, NM
- Amanda Clearwater
- Brooke Coffey
- Carson Jay Collins
- Roger Ronald Collins
- Community Midwives LLC
- Journii Cordova
- Joshua Cowden
- Dallin Bassett OD LLC
- Laberta Dempsey
- Renee Donaldson
All providers in Aztec, NM · School Registered Nurse in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 11, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.